On Monday, one operation after another. Looking at the surgical arrangements in the operating room, Dr. Li, who was in charge of the operating room in the anesthesiology department, complained: Where did so many operations come from?
Seeing more than twice the usual amount of surgery, Dr. Li could not help speeding up the connection of each step.
To pick up and drop off patients, he can’t wait to go to the ward himself to pick them up, in order to optimize some of the steps he thinks are the most time-consuming.
In the connection of anesthesia, he also tried his best to prepare all kinds of drugs and items. To avoid wasting time by missing something.
In the first few operations, the patients were in good physical condition. Under the precise control of Dr. Li, the anesthesia intubation was almost controlled within 5 minutes, and the recovery was controlled within 1-2 minutes.
Too busy is always bad. When anesthetizing a patient with lipoma surgery, there was still a small episode. Even if it was a small episode, Dr. Li was still in a cold sweat.
After the patient was lying on the operating table, Dr. Li immediately connected the various leads of the monitor to her.
When it is confirmed that there is no abnormality in the vital signs, the mask is put on and the medicine is started.
Reminder, this step will lead to hidden dangers. Assuming that the patient has poor heart and lungs and does not receive oxygen in advance, once there is a problem, he will be very passive.
In addition, injectable sedatives also have an onset time limit. Taking Liyuexi as an example, the minimum time limit for intravenous injection to reach the peak effect is 2 minutes. Therefore, this world cannot be compressed.
However, due to too many patients, Dr. Li compressed this time.
The vast majority of patients are fine, but this patient is sensitive. When the various drugs were poured in, the effect of the muscle relaxants did not keep up with the team.
After two choking coughs, the patient’s jaw was closed.
With years of anesthesia experience, he instantly felt a strong resistance in the airway. This resistance is almost the feeling of complete airway occlusion.
In order to verify his judgment, he held the lower jaw and held the mask with his left hand, and lifted the patient’s chin upward.
However, nothing seems to improve.
Looking at the monitor again, blood oxygen began to drop straight down.
At this point, he regretted not giving the patient some oxygen in advance. If oxygen is inhaled in advance, even if there is a problem with the airway, the oxygen stored in the body can resist for a while.
Laryngeal spasm? Tongue drop? Reflux aspiration? …, he checked the reasons one by one in his brain.
Looking at the 80% blood oxygen saturation on the screen, he picked up the laryngoscope and forcibly opened the patient’s closed jaw.
Although the jaws are still closed, the muscle relaxants injected into the patient’s body seem to have a little effect, and the muscles are less tight. If it’s that tight, it’s hard to break apart.
Fortunately, his usual intubation skills were excellent. Although he only saw the tip of the epiglottis, he still had a clear anatomical path from the hand holding the catheter.
After the trachea was inserted, the patient choked again tenaciously.
At this time, Dr. Li felt very self-blame. If you weren’t in such a hurry…. Fortunately, the patient has fallen asleep under the action of sedatives. If he is awake, it must be very painful.
After that, nothing happened, but the whole operation made Dr. Li feel uncomfortable.
Yes, every surgical anesthesia is the work of an anesthesiologist. An excellent creator will never allow his work to have any flaws.
After the operation, although everyone was anxious, Dr. Li insisted on controlling all the links in the middle.
A momentary fluke doesn’t mean it will never happen. And anesthesia is about life, and no chance is allowed!
【Warm reminder】Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia~